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PMT18-03217 City of Menifee Permit No.: PMT18-03217 110 29714 HAUN RD. Type: Residential Mechanical MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 06/2612018 PERMIT Site Address: 27120 TUPELO RD,MENIFEE, CA 92584 Parcel Number: 360-240-030 Construction Cost: $11,985.00 Existing Use: Proposed Use: Description of RELOCATE HVAC SYSTEM, 5 TON A/C TO BACK YARD, REPLACE 90,0D0 BTU FURNACE AND 14 Work: DUCTS Owner Contractor LARRY COLLINS W C HEATING&AIR CONDITIONING INC 27120 TUPELO ROAD 41085 GOLDEN GATE CIR MENIFEE,CA 92584 MURRIETA, CA 92562 Applicant Phone:9516000700 STEVEN SCHNIERER License Number:779604 W C HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Fee Description Oft Amount f51 Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Air Handling/Condensing Units SFR 1 133.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Mechanical 1 14.10 $324.10 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA Bldg_Pennit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect the following reason: License Class C20 License No.7 7 q(�C%+ B m signature below 1 acknowledge that,except form ��y��I8� Y Y B g P my personal residence Expires I J Signature S..w�-L- in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.)cannot legally sell a structure that I have built as an owner-builder if it hasnot been constructed in its entirety by a I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leeinfo.ca.eov/calaw.html. Policy# Date have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3709 of the Labor Code,for the performance of the work for which By my signature below l certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and polity r owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier Cv nrP:; with all applicable city and county ordinances and state laws relating to --f s building construction.I authorize representatives of this dty or county to Policy# 6JC1JC.90>5-13 Expires_I�r r9 Cnter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date I S` ! dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT 01 certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# A'3czn� worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant a�%� Date I 5 ff amounts specified on the Hazardous Materials Information Guide? � WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes IC.No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0001,IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coati Air Quality a permit Districtcons(SCtionor modification permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelCoast Air i as CONSTRUCTION LENDING AGENCY DYeS i- a I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) D Yesr__Ao OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 h�;ardous material reporting. Business and Professions Code).Any city or county that requires a permit to t�.3Ye>r 0 ' �� Date t S 1$ construct,alter,reimprove, applicantsh for the any permit to file,prior toto PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant far the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION.REPAIR AND PAINTING RRP) License Law(chapter9(commencing with Section 700D)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. a No EPA Lead-Safe Certified Firm is required for this project because: ❑1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. cJte_V.eA_1 C�X-T) i1t ;?v - 1ti, IG BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION "Menifee DATE 0 612 6/2 0 1 8 PERMIT/PLAN CHECK NUMBER -� TYPE: ❑COMMERCIAL [?]RESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA [-]SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL [-]NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Relocate 5 ton A/C to back yard,replace 90,000 BTU furnace and 1 Building Dept. PROJECTADDRESS 27120 Tupelo Road Gy JUN 2 6 2018 t.T��/1�-OW ASSESSOR'S PARCEL NUMBER 3W -C v LOT J%CT OWNER NAME Larry Collins Received ADDRESS 27120 Tupelo Road Menifee. CA 92584 PHONE (909)721-1157 EMAIL APPLICANT NAME Steven Schnierer ADDRESS 31225 La Baya Drive Suite 213 Westlake Village,CA 91362 PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com CONTRACTOR'S NAME We Care OWNER BUILDER? ❑YES ✓❑NO BUSINESS NAME We Care ADDRESS 41085 Golden Gate Circle Murrieta,CA 92562 PHONE (951)600-0700 EMAIL CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20 VALUATION$ $ 11,985.00 SQ FT L SO FT APPLICANT'S SIGNATURE DATE 06/26/2018 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION y CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAID AMOUNT AMOUNT '1O �IO 0 CASH C CHECK IF O CREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/Mt OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-6777 www.cityafinenifee.us Inspection Request Line 951-246-6213 STATE OF CAUFORNIA ALTERATIONS - HVAC CECCFIR-ALT-04E Revised 01/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE MR-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1) Site Address Enforcement Agenq: pp Da Pr red: Perm Z'117 1v cl �ocga C; O� 'f1en�FeL fv 2b 18 0 Equipment Type Equipment Efficiency New Ducting or Uneset: Conditioned a Thermostat 1R,yequired R-value Floor Area(ft) ❑Packaged )»Evaporator Coll QKAFUE COP ry R-6 (CZ I-10,12&13)Ducts Served by system back System ]✓i(Condensing Unit El (Q 11,14-16J Ducts 2Z30 ft' (If not already Split System ❑Compressor '1L{ SEER —HSPF ❑g R-2.8 Lineset4 present must ❑Mini Split ❑Lineset EER be installed) XFurnace ❑TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At ftytp(i this form Is allowed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms allowed)a �R9. ❑1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-1-1,MCH-(23 or 24)'-H,MCH-25-1-1' 'UN 2 6 2018 Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H21 MCH-25-1-1' Air Handler/Furnace'(Can Include new ducting) 02-1 Installer Requirement:Duct leakage(515%,or g10%to outside,or seal all accessible leaks),Air Flow a 300 CFM/t , ovaE 1r ® Exempted from duct leakage testing if: l+ ❑1.Duct system registered with HERS provider as previously sealed,or 112.There is less than 40 linear feet of duct in unconditioned space,or ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building I 112.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CFSR-ALT-02-E including Mini Split CF211-MCH-01-E,MCH-20-1-1,MCH-22-H,MCH-(23 or 24)-H',MCH-25-1-1' CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-1' Mini Splits require CF1R-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H Installer Requirement:Duct leakage 5<5%,Fan Efficacy(D.SSW/CFM),Air Flow a 350 CFMAon(or alternative),Refrigerant Charge X 3.All New Ducts with Replacement Required compliance Documents to be left an site for Final: All New Ducts'and one or more of the following CF111-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)-H,MCH-25-H Compressor,TXV,Lineset,Furnace' CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H Installer Requirement:Duct leakage<5%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' I CF1R-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H Installer Required to:Duct leakage(515%or,510%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 'All new ducting requires R-8 insulation when more than 40 ft installed in C7s 11&14-16 and R-6 In CZs 1-10,12&13,and R-6 insulation when less than 40 It installed.This Includes In walls,between floors etc. 'Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24),or Refrigerant Charge verification MCH-25 3 All New Ducts is when at least 75%of the duct system Is new duct material,and up to 25%may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) 4 R-2.8(1"thick insulation)for linesets 1"and less. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided an this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations(CCR). 4. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approvalwiththisbuilding permitapplication. nslblee1eslt 9e: pon"s I�eoesl na re: Da Sign d:s LI��cy trer Ca arty• Address: state/zip: Phone: core- 1410 5 C�idt3n a�eC:c 1 )u e c R2562 9s1-(o00-0-7oo For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300